I recently found out I have a right ovarian cyst measuring 95.5 cc with a peripherally situated solid component of about 12x6 mm in the adnexal area from my ultrasound. My CA-125 is 8.5, which is normal. My doctor initially suggested surgery but then prescribed me Derivery 10 mg daily for 3 months when I asked about medicine options. I'm 24 and not married should I be worried about the cyst or the treatment plan? Is medicine enough or should I consider surgery?

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Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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It's understandable to be concerned about your ovarian cyst, especially with the initial suggestion of surgery. While a normal CA-125 level and your age are positive factors, the size and solid component of the cyst warrant caution. Whether medicine or surgery is the best option depends on your individual circumstances and the potential for complications. It's crucial to have a thorough discussion with your doctor about the pros and cons of each approach.

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Answered 14/08/2025

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My doctor found a 7 cm ovarian cyst and suggested surgery, also asked for a CA25 test. Is surgery really necessary for a cyst this size, and what does the CA25 test indicate? Should I be worried about cancer?

please visit your gynecologist.

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I have an 11.28 cm cyst in my right ovary and my doctor recommended laparoscopic surgery is it really safe or can it be treated with medicines instead

A large ovarian cyst like yours (11.28 cm) does increase the risk of complications like torsion or rupture, and surgery is often recommended for cysts of this size. Laparoscopic surgery, removing the cyst through small incisions, is generally considered safe and less invasive than an open procedure. While medication can sometimes shrink smaller cysts, it's less likely to be effective for very large ones.

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